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150387

Urinary TWEAK; Diagnostic and Prognostic Biomarker in Evaluating Lupus Nephritis Case Control Study

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Last updated: 03 Jan 2025

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Abstract

Background: Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is a multifunctional cytokine that belongs to the TNF-ligand superfamily. Objective: To evaluate the ability of urinary TWEAK (uTWEAK) to diagnose lupus nephritis (LN) and its correlation with activity and chronicity index. Patients and Methods: This study was carried out on 75 individuals, 50 SLE patients, fulfilling the SLICC revision of the ACR classification criteria for SLEand25 age and sex matched apparently healthy control subjects. Patients were assessed by SLE disease activity index (SLEDAI-2K) score. Renal biopsy were done for SLE patients who have confirmed proteinuria >0.5 g in 24-hour urine samples or active urinary sediment or inexplicable decrease in renal function. UrinaryTWEAK levels were measured by ELISA. Results: uTWEAK level showed a highly statistical significant difference among groups (P<0.001). There was direct highly significant correlations between uTWEAK and total (t)SLEDAI (r=0.58, P< 0.001) and renal (r)SLEDAI (r=0.73, P<0.001). uTWEAK hadsignificant association with the presence of proliferative GN (Class III, IV) (p= 0.003). At cutoff point ≥ 9.9 pg/mg Cr, uTWEAK had sensitivity of 76% and a specificity of 60 % to diagnose SLE patients with nephritis. At cutoff point of ≤ 14.9 pg/mg Cr, the uTWEAK level had a sensitivity of 88% and a specificity of 76% to predict good response to treatment in LN patients. Conclusion: We concluded that uTWEAK is a candidate biomarker for evaluating LN. It possesses numerous properties that make it suitable for assessment of LN activity and prognosis.  

DOI

10.21608/ejhm.2021.150387

Keywords

Diagnostic and Prognostic Biomarker, Lupus nephritis, Urinary TWEAK

Authors

First Name

Nahla M.

Last Name

Gaballah

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Affiliation

Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Egypt.

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First Name

Yomna A.

Last Name

Amer

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-

Affiliation

Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Egypt.

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First Name

Lamiaa M.

Last Name

Kamel

MiddleName

-

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt.

Email

lamneg@gmail.com

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First Name

Salem A.

Last Name

El-Deeb

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-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.

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Orcid

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First Name

Abeer M.

Last Name

El-Shafey

MiddleName

-

Affiliation

Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Egypt.

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Volume

82

Article Issue

4

Related Issue

22125

Issue Date

2021-01-01

Receive Date

2021-02-21

Publish Date

2021-01-01

Page Start

615

Page End

625

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_150387.html

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https://ejhm.journals.ekb.eg/service?article_code=150387

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5

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Urinary TWEAK; Diagnostic and Prognostic Biomarker in Evaluating Lupus Nephritis Case Control Study

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Article

Created At

22 Jan 2023